Healthcare Provider Details

I. General information

NPI: 1538379326
Provider Name (Legal Business Name): ALEXANDER M HAMLING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE SUITE #300
BOTHELL WA
98021-4412
US

IV. Provider business mailing address

12726 12TH AVE NE
SEATTLE WA
98125-4013
US

V. Phone/Fax

Practice location:
  • Phone: 425-412-7200
  • Fax: 425-412-7348
Mailing address:
  • Phone: 412-215-0318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.092850
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57011966
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60088380
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: